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HomeMy WebLinkAbout6425 W 46th Place.D Inspection online form, o.us/inspection Cancellations must be submitted via i. m. the day of the inspection Inspections will not be performed urn, ;ted on the project site Request an inspection before MIDNIGHT (11:59 PM) i4 spection the following business day PERMIT:Algloc)24"� ADDRESS: �24%� 5 Aj V,�^Pk JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco m 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT.,�D/FS(.J0294-ADDRESS: GJJOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning" Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection" 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. �r w i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ti C 9 - Fi ra c I Job Address: 9/ S— 14j c-/ L d Permit Number: -,) 0 1 -F -F 0 o a ❑ No one available for inspection: Time f"� = A /P Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Dater I j 1 1-1 )Jq Inspector: DO NOT REMOVE THIS NOTICE (<3 i CITY OF WHEAT RIDGE 1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L/ G 9 - < < r I Job Address: l q 9 5— w �l L +-h ;� I Permit Number: 'a o) sz 0 6 a'? 1, Peel !r, -e (1-e r- icC/UL c ❑ No one available for inspection: TimeQW/PM Re -Inspection required: � No When corrections have been made, call for re -inspection at 303-234-5933 Date://S/ / Inspector: `TIS DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ® j Job Address: ro ya5- 6 -", ) Permit Number: a a l g o a `a S 6 rl= . . ❑ No one available for inspection: Time 11 = 1 A�I I/PM Re -Inspection required: Yes CNo When corrections have been made, call for re -inspection at 303-234-5933 Date: a)/-6 Inspector: 7_? DO NOT REMOVE THIS NOTICE City of Wheat Ridge G , Residential Roofing PERMIT - 201800286 PERMIT NO: 201800286 ISSUED: 01/29/2018 JOB ADDRESS: 6425 W 46th PL EXPIRES: 01/29/2019 JOB DESCRIPTION: Residential re -roof with OC Duration asphalt shingles. Squares: 22 Pitch: 5/12 *** CONTACTS *** OWNER (303)877-9969 ANCELL MELYNDA KAY SUB (720)399-0355 William Hutchison 130071 Independence Roofing & Ext. In *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,654.00 FEES Total Valuation 0.00 Use Tax 118.73 Permit Fee 140.90 ** TOTAL ** 259.63 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge r Residential Roofing PERMIT - 201800286 PERMIT NO: 201800286 ISSUED: 01/29/2018 JOB ADDRESS: 6425 W 46th PL EXPIRES: 01/29/2019 JOB DESCRIPTION: Residential re -roof with OC Duration asphalt shingles. Squares: 22 Pitch: 5/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with �permrt. I further attest that I thisam legally authorized to include all entities named within this document as parties to the work to be performed and that' al) work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signapfe,4 OWNER or CONTRACTOR (Circle one) ate 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is isublect to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 1 If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 11 1 6, The issuance or granting of a�permit shall not be construed to be a permit for or an approval of, any violation of any provision of any applicable cole\or yfordm nice or regulation of this jurisdiction. Approval of work is subject to Held inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. til q�+i::,s. ,,,.rkt � �. 3. Y '`»..,..S,G.L':3f'Y.icsc,�'y.- •• INDEPENDENCE 1070 W 124th Ave ff200 Westminster, CO 80234 720-399-0355 / Fax 303-736-2282 Date 1/5/2018 Proposal # 2755 ROOFING & EXTERIORS BLE bnsurod by Preferred Contractors Insurance Company, RRG 720-984-2471 IRE ("Contractor") agrees subject to the Additional Terms And Conditions page in agreement to famish all materials, labor and equiprnertt necessary hn-thework specified below located at: Billing Name/ Address: Melynda Ancell 6425 W. 46th. Pl. Wheat Ridge, Co 80033 Job Name f Address: 6425 W. 46th. R. Wheat Ridge, Co. 80033 303-877-9969 TIIE Il0M6'OWN6'R 11AS A 3 PAY RIGHT OF RECISSION TO CANCEL THIS CONTRACT IN WRITING WITUIN 72 HOURS OF TILE DAT E SIGNED BY THE CUSTOMER ON rI11S CONTRACT ANO ITA p7,,1 #&% OFANYDEPOSIT REFUNDED. Homeowner retains the right to cancel this contract at anytime before materials are delivered or work has begun and obtain a fall refund of any deposit — Replaoemettt of deteriora wd decking,fascia boards, roofiacks, ventilators, flashing or other material unless otherwise stated in this proposal and agreement are not included and will be charged as an extra on a time and material basis. 'rhe Owner is responsible for removal of all outdoor furniture, awnings or Other outdoor fixtures prior to the start of the work The Owner is to prime and paint any replaced wood or metal_ no Contractor shall not be required to perform work related to asbestos or Polychlorinated Biphenyl (PCB), the Owner will he responsible for the additional cost of removal or cost to render harmless material in the event that such material is discovered. The Proposal and agreement will expire thirty (30) days Goin the date of the contract unless accepted in writing within that ornc by the Owner or unless the expiation date is extended in writing by the Contractor and itis proposal and agreement is thereafter accepted by the Owner before the extended expiration date- Also, after (30) days from the date signed, the Contractor resetrves the right to revise its price in accordan e, with the cost in effect at the time- All proposals ate subject for approval of the comractoes management. Per Colorado Serw+a Bill 12.038; Jfpayrnent will be thm ark an inramace daiar, the property orvner may rescind this contract nilkin 71 hoarrafter receiving norierfromtheir usurer that the claim has Down Payment' beat denied in wbhoL- ar part The Contractor (JRE) wi0 nor Pay, nahr Or rebase Ike Homemvnees Iaranaarezwucfiw in part or i. hole. Due Upon Delivery: $5,000.00 Independence Roofing & F,.arnbrr shall hold in tris! any payrmn+jrom the property owner Options: until rha contractor (IRE) hat delivered reefing materials to the jobsite or has performed a majornyoftheroofing work onthe property. Total Contract Amount: $11,245.08 { k . A zed Representative .Cuornar or Authorized Representative Da[c of Acceptance INT- rA 1 have rend and understood the AddiHuval'F<rrors And Conditions page and that is part of than Agreement. �°�.or•" Scope Of Work Rc-Roof Installation Of New Roofing Material As Described Belnw. Approximate dates of service -T'Bll SUPPLY & INSTALL Owens Coming Duration RIDGETYPE Owns Coming Supreme shingle) tab SWNGLE COLOR TBD Tear -Off One, layer Laminated shingles BASE FELT PAPIiR Install Synthetic underlayment ICE & WATER SIBELD Installed at eaves as rcgaired by Building Code PLUMBING JACKS Replace all VALLEY TYPE Closed cut with liner (!ce & Water Shield) VENT TYPE Replace existing turtle vents and paint. SAVE EDGE Ml,TAL Replace existing - Ivory color GABLE EIXiE METAL Replace existing - Ivory color CHIMNEY FLASH NA Skylight NA SWAMP COOLER NA Gut-MIRS NA IRE LA13OR WARRANTY 10 years MATERIAL WARRANTY Limited Lifetime PERMIT FURNI S) LEI) IN Wheat Ridge TIIE Il0M6'OWN6'R 11AS A 3 PAY RIGHT OF RECISSION TO CANCEL THIS CONTRACT IN WRITING WITUIN 72 HOURS OF TILE DAT E SIGNED BY THE CUSTOMER ON rI11S CONTRACT ANO ITA p7,,1 #&% OFANYDEPOSIT REFUNDED. Homeowner retains the right to cancel this contract at anytime before materials are delivered or work has begun and obtain a fall refund of any deposit — Replaoemettt of deteriora wd decking,fascia boards, roofiacks, ventilators, flashing or other material unless otherwise stated in this proposal and agreement are not included and will be charged as an extra on a time and material basis. 'rhe Owner is responsible for removal of all outdoor furniture, awnings or Other outdoor fixtures prior to the start of the work The Owner is to prime and paint any replaced wood or metal_ no Contractor shall not be required to perform work related to asbestos or Polychlorinated Biphenyl (PCB), the Owner will he responsible for the additional cost of removal or cost to render harmless material in the event that such material is discovered. The Proposal and agreement will expire thirty (30) days Goin the date of the contract unless accepted in writing within that ornc by the Owner or unless the expiation date is extended in writing by the Contractor and itis proposal and agreement is thereafter accepted by the Owner before the extended expiration date- Also, after (30) days from the date signed, the Contractor resetrves the right to revise its price in accordan e, with the cost in effect at the time- All proposals ate subject for approval of the comractoes management. Per Colorado Serw+a Bill 12.038; Jfpayrnent will be thm ark an inramace daiar, the property orvner may rescind this contract nilkin 71 hoarrafter receiving norierfromtheir usurer that the claim has Down Payment' beat denied in wbhoL- ar part The Contractor (JRE) wi0 nor Pay, nahr Or rebase Ike Homemvnees Iaranaarezwucfiw in part or i. hole. Due Upon Delivery: $5,000.00 Independence Roofing & F,.arnbrr shall hold in tris! any payrmn+jrom the property owner Options: until rha contractor (IRE) hat delivered reefing materials to the jobsite or has performed a majornyoftheroofing work onthe property. Total Contract Amount: $11,245.08 { k . A zed Representative .Cuornar or Authorized Representative Da[c of Acceptance INT- rA 1 have rend and understood the AddiHuval'F<rrors And Conditions page and that is part of than Agreement. �°�.or•" ,�O1FC0-4,7 S2 - Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Monday, January 29, 2018 11:56 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 6425 w 46th PI Melynda Ancell 303-877-9969 bill@independenceroof.com Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Scan0o02.pdf Contract CONTRACTOR INFORMATION Contractor Business Independence Roofing and Exteriors Name Contractor's License 19( j Number (This is a 5 or 6 r digit number for the City l of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 720-422-5488 510 COMPTON ST #101 Contractor Email Address hutcherson98@gmail.com Retype Contractor Email hutcherson98@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 22 the entire scope of work: Project Value (contract 2,t Uo value or cost of ALL �� `� �' -_ materials and labor) i Are you re -decking theNo roof? Is the permit for a flat itched roof (2:12 pitch or greater) roof, pitched roof, or both? (check all that apply) 2 7j What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 5/12 22 Owens Corning Duration Asphalt Complete Re -roof of residential home. SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes C and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Jake Hutchison Email not displaying correctly? View it in your browser. 4 tl.r. JNSPECTION RECORD Occupancy/Type 'ZINSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR .INITIALS COMMENTS: - Footings /Caissons Stemwall;/ (CEG) Concrete Encased Ground A, Plumbing (Underground) Reinforcing or Monolithic Weatherproof/ French Drain :Budding Final ' Sewer Service Lines. Fire Department <Do NOT POUR. FLOOR UNTIL ABOVE HAS BEEN SIGNED Water Service Lines r ROUGHS ' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - Electrical CONCRETE SLAB FLOOR Electrical (Underground) MMechanical A, Plumbing (Underground) Roof : Heating (Underground) :Budding Final Fire Department <Do NOT POUR. FLOOR UNTIL ABOVE HAS BEEN SIGNED r ROUGHS INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping,: <Sheathing' ath / Wall `tie oof Mid -Roof `r Electrical Service Rough Electric P " Rough Plumbing r -. Gas Piping:. 5 Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING ` Framing ,Insulation :Drywall Screw FINALS Electrical Plumbing MMechanical Roof :Budding Final Fire Department R.O W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping,: "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BE FORE A CERTIFICATE OF OCCUPANCY IS ISSUED FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORI ZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSU PROTECT THIS CARD FROM THE WEATHER ' ED i CITY OF WHEAT RIDGE � Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: ES � 2 Job Address: f�Ij L� '' 1 L( 7 i ILL Permit Number: iC l r3 jz ❑ No one available for inspection: Time AM /PM Re- Inspection required`: Yes No *When corrections have been made, call far rfins on at 303 -234 -5933 Date C? - 3 Inspector: a^' 111j / DO NOT REMOVE THIS NOTICE ♦ ♦ CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Xys y9_ r& , 9Y Job Address: , W . Permit Number: y 7-20 >Z iz s3 Z nns caiTis�fcTic l ❑ No one available for inspection: Time zo,l ro AM /PM Re- Inspection required: < ZeTs No a "When corrections have been made, call for re- inspection at 303 - 234x933 Date: g,Ji�f� Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: s Job Address: A03 I't _Y AAK Permit Number: ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No *When corrections have been made, call for re-inspection at 303-234-5933 Date: ~r , Inspector. D NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 091064 -'PERMIT NO: 091064 ISSUED: 08/03/2009 `.'JOB ADDRESS: 6425 W 46TH PL. EXPIRES: 01/30/2010 DESCRIPTION: T/O reroof 21 sgs.:with 30 yr Timberline... shingles r,' CONTACTS*** c owner 303/423-8392 `RC Cardenas sub 303/425-7531 ` John..: Borfitz - 01-9983 J & K Roofing Inc PARCEL INFO - a,.ZONE CODE: UA USE: -UA SUBDIVISION: 0374 BLOCK/LOT#;. 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: .8,367.00 FEES Permit Fee 217.50 Total Valuation .00 =Naa Use Tax 150.61 TOTAL.** 368.11 Conditions:. 6 nail installation &mid-roof inspection required. Board sheathing spaced more than a 1/2 of an inch apart requires. plywood overlay on entire roof. Ice and water shield.. required from eave edge to 2'inside -exterior walls.. 'Subject to field inspections. rf I. hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations. of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this y,. application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other. i'. applicable Wheat -Ridge. nces, for work under this permit. Plans subject to field inspection. z'!Signature of co ractor/owne date c oI 1.. This permit. was issued i accordance with the provisions set forth in your application and is subject to thelaws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. - 2. This permit shall expire 180 days. from the issue date. Requests for an 'extension must be received prior to expiration date. An extension may be granted at . the discretion of the Building Official. 3. If this permit expires,a new permit may be acquired for afee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not • exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1). year, full fees shall V be paid. for a new permit. 4. No work of any manner shall be done that will change the natural, flow of water causing a drainage. problem.. 5. Contractor shall notify the :Building Inspector twenty-four (24)'hours . in advance for all inspections and shall receive. written approval on inspection card before proceeding. with successive phases. of the job. 6. The issuance.. of apermit or the. approval of drawings and specifications shall not be. construed to be a permit for, nor an. approval of, an violation of the provisions of the building codes or any other. ordinance, law, rule or. regulation. All plan r vi I ubject to field inspections. Signature o hie Building Official date INSPECT ON REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.- ( p ~oFW"E°'RO City of Wheat Ridge Building Division m 7500 W. 29th Ave„ Wheat Ridge, CO 80033 ~ Office: 303-235-2855 * Fax: 303-235-2857 °o~aRro° Inspection Line: 303-2T4-5933- Building Permit Application 612,5 . Vi a-"-- Date: Plan fermit V 0 Property Owner (please print): kc- dAA-~ Phone:-3Q -~3 ""9Z?J,2 Mailing Address: (if different than property address) Address: City, State, Zip: o03 -3 MEM V fC ~ U V Contractor License Phone: 3-~z5 - °r53 / Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: a Use of space descti lion):y a L C construction value: $ b31eZ~ e ~72~ (as calculated per the Building Valuation Data sheet) 0 Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurementgz•shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that7assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: ((OWNER)) CONTRAC~T~Od~R~ ~o~ra¢PERSONAL REPRESENTATIVE of(OWNER) (CONTRATOR) r PRINT NAME: Ld ~i-+!r+_ ,inF-~ 't- - SIGNATURE: IIA&ey n- Date: -Z,